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316TH MEDGRP-MALCOLM GROW
NPI 1861804551
Military/U.S. Coast Guard Pharmacy in Bolling Afb, DC

Active since May 29, 2014
238 BROOKLEY AVE SW, 579TH MEDICAL GROUP, BOLLING AFB, DC 20032(202) 404-7742(202) 404-1216 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Apr 10, 2024, Jan 28, 2016 (3 updates tracked since 2016).

About 316th Medgrp-malcolm Grow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

316TH MEDGRP-MALCOLM GROW (NPI 1861804551), doing business as Dod Bolling Ephcy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Bolling Afb, District Of Columbia and active in the NPI registry since May 2014. The organization lists William Michael Condon, Dha Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1861804551
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name316TH MEDGRP-MALCOLM GROW
Location Address238 BROOKLEY AVE SW, 579TH MEDICAL GROUPBolling Afb, DC 20032-7704
Mailing Address1060 W Perimeter RdJb Andrews, MD 20762-6602 · (202) 404-7742 · Fax (202) 404-1216
Phone(202) 404-7742
Fax(202) 404-1216
Organization SubpartYes
Authorized OfficialWilliam Michael CondonDha Financial Manager · (240) 401-3643
Enumeration DateMay 29, 2014
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1861804551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary/U.S. Coast Guard PharmacySuppliers
Taxonomy Code332000000X
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
238 BROOKLEY AVE SW, Bolling Afb, DC 20032
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Other Names 1

Doing Business AsDod Bolling Ephcy

Other Identifiers 1

Other2145981Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH MARIA REYNA
Military Health Care Provider (Independent Duty Medical Technicians)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (202) 404-5512
MICHELLE SCHULDT NURSE PRACTITIONER
Nurse Practitioner (Family)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (757) 329-2296
DR. DANNON WAYNE SUTHERLAND D.M.D
Dentist
238 BROOKLEY AVE SW, JOINT BASE ANACOSTIA
BOLLING AFB, DC 20032
District of Columbia (202) 767-5382
DR. CRYSTAL ALMETA BROWN-SCOTT
Pharmacist
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (022) 404-7742
DR. TAMMY KNAPP HEISEY DMD
Dentist (General Practice)
238 BROOKLEY AVE SW, 579TH MDG/SGHC
BOLLING AFB, DC 20032
District of Columbia (202) 404-3603
DR. DARREN P. RHOTON O.D.
Optometrist
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (202) 404-6425
MS. MARISSA KOCH WHNP, RNC
Nurse Practitioner (Women's Health)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (703) 681-6196
DR. JEREMY COOPER NP
Nurse Practitioner (Psychiatric/Mental Health)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (202) 767-0611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 316th Medgrp-Malcolm Grow's NPI number?

The NPI number for 316th Medgrp-Malcolm Grow is 1861804551. It was assigned to this organization in the NPPES registry on May 29, 2014. The provider is doing business as DoD BOLLING ePhcy.

Where is 316th Medgrp-Malcolm Grow located?

316th Medgrp-Malcolm Grow is located at 238 Brookley Ave SW 579th Medical Group, Bolling Afb, DC 20032. The listed phone number is (202) 404-7742.

What is 316th Medgrp-Malcolm Grow's specialty?

The primary specialty registered for this NPI is Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

What insurance does 316th Medgrp-Malcolm Grow accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 27 other insurers list 316th Medgrp-Malcolm Grow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 316th Medgrp-Malcolm Grow was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.